BISSALAM MEDICAL LLC
NPI 1154988897
Clinic/Center - Primary Care in Bronx, NY

Active since May 28, 2019
3391 3RD AVE STE 1, BRONX, NY 10456(347) 299-7967 Get Directions Write a Review

NPPES record last updated: May 28, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bissalam Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BISSALAM MEDICAL LLC (NPI 1154988897) is a healthcare organization registered as a primary care in Bronx, New York and active in the NPI registry since May 2019. The organization lists Luqman O Salahudeen, Physician, as its authorized official.

NPPES Registry Identity

NPI1154988897
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBISSALAM MEDICAL LLC
Location Address3391 3RD AVE STE 1Bronx, NY 10456-5355
Mailing AddressPo Box 783Bronx, NY 10456-0525 · (347) 299-7967
Organization SubpartNo
Authorized OfficialLuqman O SalahudeenPhysician · (347) 299-7967
Enumeration DateMay 28, 2019
✔ NPI 1154988897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3391 3RD AVE STE 1, Bronx, NY 10456

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bissalam Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bissalam Medical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Infectious Disease
NPI 1487087193
506 LENOX AVE
New York, NY 10037
(732) 881-7471
✔ PECOS✔ Accepts Medicare2.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bissalam Medical LLC's NPI number?

The NPI number for Bissalam Medical LLC is 1154988897. It was assigned to this organization in the NPPES registry on May 28, 2019.

Where is Bissalam Medical LLC located?

Bissalam Medical LLC is located at 3391 3rd Ave Ste 1, Bronx, NY 10456. The listed phone number is (347) 299-7967.

What is Bissalam Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Bissalam Medical LLC enrolled in Medicare?

Yes. Bissalam Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bissalam Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Infectious Disease) reassigns their Medicare billing to Bissalam Medical LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bissalam Medical LLC was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.